Organization
TABOR ORTHOPEDICS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH TROUTMAN (OFFICE MANAGER)
(901) 767-8662
Entity
Organization
Contact information
Practice address
6005 PARK AVE, SUITE 608, MEMPHIS, TN 38119-5202
(901) 767-8662
(901) 684-0345
Mailing address
6005 PARK AVE, SUITE 608, MEMPHIS, TN 38119-5202
(901) 767-8662
(901) 684-0345
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000882
RAILROAD MEDICARE
TN
01
—
1250820001
PALMETTO GBA
TN
05
—
3716928
—
TN
01
—
9015371
MISSISSIPPI MEDICAID
MS
Enumeration date
02/22/2006
Last updated
08/22/2020
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